Individual
LAUREN KIRKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
250 OAK STREET, HICKORY FLAT, MS 38633
(662) 333-1128
(662) 333-1196
Mailing address
4750 HIGHWAY 4 W, RIPLEY, MS 38663-6802
(662) 587-3405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904082
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904082
MS BOARD OF NURSING
MS
01
—
F07202256
AMERICAN ACADEMY OF NURSE PRACTITIONERS
MS
Enumeration date
08/18/2020
Last updated
08/18/2020
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